Zirconia: challenge of the surface treatment process
DOI:
https://doi.org/10.34019/1982-8047.2020.v46.28976Keywords:
Ceramics, Dental materials, Dentistry researchAbstract
Introdution: Dental ceramics have been used as restorative materials since 1770 for presenting aesthetic properties similar to natural teeth. The search for procedures that aim to increase the adhesion between zirconia, a polycrystalline ceramic, and a cementing agent, is a challenge and has stimulated the development of several studies. Objective: The objective of this study is to discuss the different types of recommended surface treatments for yttria stabilized zirconia (Y-TZP), as well as the advantages and disadvantages described in the literature. Materials and methods: The present study is a literature review carried out of scientific articles published between 2003 and 2019, indexed in the MEDLINE, PubMed and Scielo databases. The following search terms were used: “zirconia surface treatment”, “Y-TZP surface treatment”, “zirconia cementing agent”, “Y-TZP cementing agent”, “zirconia adhesion” and “adhesion to zirconia Y-TZP”. Results: 413 articles were found that met at least one of the registered inclusion criteria. However, data from a total of 69 articles were used that met all the inclusion criteria. Conclusion: The reported surface treatment protocols still have limitations regarding the long-term behavior of bond strength. However, when the characteristics of the preparation are not favorable to retention, blasting with Al2O3 particles coated with silica (30μm) should be used, being less aggressive to ceramic than other blasting protocols described. As for the cementing agent, it is always recommended to use resin cements that have MDP in their composition, since they provide stable chemical bonds and long-lasting adhesive behavior.
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